OMT Contraindications & Special Populations Flashcards

Which condition is considered an absolute contraindication to massage therapy?

Answer: Deep vein thrombosis (DVT)

Deep vein thrombosis is an absolute contraindication to massage because manual manipulation could dislodge a clot, potentially causing a life-threatening pulmonary embolism.

When working with a pregnant client in the second or third trimester, which position is generally recommended to avoid?

Answer: Supine (lying flat on back)

Supine positioning in later pregnancy can cause supine hypotensive syndrome as the uterus compresses the inferior vena cava, reducing venous return to the heart.

Which skin condition requires the OMT therapist to avoid direct massage over the affected area?

Answer: Melanoma or undiagnosed skin lesion

Undiagnosed skin lesions or suspected malignancies such as melanoma are local contraindications because massage could potentially spread cancer cells or alter lesion characteristics.

For clients with osteoporosis, which massage technique should be avoided over the vertebrae and long bones?

Answer: Deep compression and percussive techniques

Deep compression and percussive techniques over osteoporotic bones risk fracture and should be avoided; only light to moderate pressure on soft tissues is appropriate.

When treating a client with diabetes, which special consideration is most important regarding massage?

Answer: Monitor for hypoglycemia and inspect extremities for poor healing

Diabetic clients risk hypoglycemia (especially after exercise-like stimulation from massage) and have impaired peripheral sensation and healing, requiring careful monitoring and skin inspection.

Which client presentation requires immediate referral and cessation of massage treatment?

Answer: Sudden onset of chest pain during a session

Sudden chest pain during a session is a medical emergency that requires immediate cessation of treatment and activation of emergency medical services.